Neonatal abstinence syndrome template PDF

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SIMULATION PREWORK ASSIGNMENT Identified Disease Process Neonatal abstinence syndrome

Pathophysiology When the fetus is experiencing withdrawal from substance used during pregnancy Present 24-72hr after birth Vomiting and high-pitched crying is sign

Identify Risk factors of disease below

Identify implications of risk factor with disease process

Alcohol use during pregnancy Addictive. Effects the baby, can cause birth defects Narcotic use during pregnancy Addictive. Can cause birth defects. List parts of focused physical assessment associated with identified disease

Correlate assessment with expected findings and identify how these findings relate to the pathophysiology of your patient’s condition.

weight The baby may be underweight length Baby may be short in length/smaller than the average vitals Monitor the babys vitals especially BP, pulse, snd temp.

List anticipated laboratory studies relevant to the care of your patient with the identified disease (Minimum of 3) fever

Describe the importance of identified laboratory studies related to the identified disease process and how this will impact your nursing care. Sign of NAS

Vomiting/tremors Common signs of NAS

List anticipated diagnostic studies relevant to the care of your patient with the identified disease. (Minimum of 3

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Describe the diagnostic study AND the importance of identified diagnostic studies related to your patients’ disease process.

SIMULATION PREWORK ASSIGNMENT Hydration status

We will look at baby’s hydration status since vomiting to see if they have NAS

Sleep pattern/high pitched cry If the baby is crying and having trouble sleeping this is a sign to dx NAS

List PRIORITY nursing interventions DIRECTLY associated with patient identified disease process. (Minimum of 3) Hold the baby

swaddling

Decrease external simulation

Describe WHY you have chosen this as a priority intervention associated with your patients disease process.

Expected outcome of implemented nursing interventions.

Will relax and calm the baby down.

Baby at ease

Will relax the baby. Will put them at ease/less stress. Will mimic womb. Wil keep the baby from feeling overwhelmed/overstimulated

List anticipated medication orders (Minimum of 3)

Baby at ease/less stress Baby at ease. Not over stimulated

Clearly support the use of these medications relative to your patients’ disease process; identify important nursing care associated with administration of drug.

methadone Treats withdrawal symptoms morphine Treats withdrawal symptoms gabapentin Improves feeding tolerance and decreases irritability

List (3) priority patient education topics

Provide reason why education topics chosen as a priority relative to patient disease

Limit visitors The baby is very sick and vulnerable so it is important to limit visitors. Don’t want to

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SIMULATION PREWORK ASSIGNMENT overstimulate the baby Swaddle baby Will make baby feel comfortable. The baby will be at ease/the most relaxed while swaddled. Speak softly/gentle touch Speak softly to not over stimulate the baby. The baby is very sensitive during this time.

List (3) highest risk complications associated with your patients condition Low birth weight

What actions will you as the nurse take if these complications should arise? Monitor baby/provide adequate nutrition.

jaundice Place under bilirubin light /provide adequate feeding seizures Give phenytoin, ,seizure protocol

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